| NPI | 1619574274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209023229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041436175) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-05-03 |